Exposure to childhood interpersonal trauma and mental health service urgency

Marshall, Catherine; Semovski, Valbona; Stewart, Shannon L.

doi:10.1016/j.chiabu.2020.104464

Cited by 21 publications

(11 citation statements)

References 39 publications

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“…There are a variety of clinical implications as a result of these findings. Normalized screening procedures, with the use of high-quality standardized assessments, can improve early intervention, triaging, and prioritization of mental health services (Marshall et al, 2020; Stewart & Babcock, 2020). These screening procedures need to be accessible, especially to high-risk families living within impoverished neighborhoods, and easy to administer across multiple modalities, to continue the provision of services throughout lockdown periods.…”

Section: Discussionmentioning

confidence: 99%

Child and youth mental health needs and service utilization during COVID-19.

et al. 2022

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The COVID-19 pandemic has significantly impacted the lives of children, youth, and their families and their access to mental health services through new virus containment measures, such as social distancing guidelines, school and service closures, and the emergence of online mental health services. In this study, we utilized a total of 47,417 interRAI assessments to evaluate the impact of the current pandemic on the mental health service needs and referral trends of children and youth across 55 mental health service agencies in Ontario, Canada. Child and youth assessments that were conducted in the period of March 1 to October 31 in 2018 and 2019 were compared with the same period in 2020 to assess pandemic-related differences. Findings demonstrated that mental health assessments among children and youth decreased significantly during the pandemic period, with the greatest decline observed among children from low-income neighborhoods. Results also demonstrated a change in the proportion of mental health concerns previously seen in children and youth. Specifically, referrals for anxiety, depression, self-harm, problem videogaming, and Internet use increased, whereas referrals related hyperactivity/distractibility, risk of harm to others, aggressive, and disruptive behavior decreased. A decrease in bullying and increase in domestic violence exposure was also noted during the pandemic, with no reported differences in children and youth's experiences of physical abuse, sexual abuse, emotional abuse, and neglect. The clinical implications for children, youth, and their families, especially those within more vulnerable communities, are discussed.

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Section: Discussionmentioning

confidence: 99%

Child and youth mental health needs and service utilization during COVID-19.

et al. 2022

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“…Overall, this reduction in mental health utilization also reflects the need for the prioritization of the implementation of evidence-based assessment tools that can be easily transferable to online services ( 71 , 73 ). Further, increased structural and financial support for children, youth, and their families within vulnerable communities during this time is needed to ensure appropriate, and timely access to services and devices required for online service delivery ( 22 ).…”

Section: Discussionmentioning

confidence: 99%

“…The interRAI ChYMH-S ( 49 ) is a short, 99-item assessment which complements the ChYMH full assessment and takes ~15 min to administer. The instrument aids assessors by assisting in decisions related to triaging, placement, and service utilization ( 71 ). It provides a brief snapshot of the child's level of functioning and assists clinicians to ascertain acuity levels, as well as in determining whether a more comprehensive assessment is needed ( 49 , 72 , 73 ).…”

Section: Methodsmentioning

confidence: 99%

Following the Epidemic Waves: Child and Youth Mental Health Assessments in Ontario Through Multiple Pandemic Waves

et al. 2021

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Emerging studies across the globe are reporting the impact of COVID-19 and its related virus containment measures, such as school closures and social distancing, on the mental health presentations and service utilization of children and youth during the early stages of lockdowns in their respective countries. However, there remains a need for studies which examine the impact of COVID-19 on children and youth's mental health needs and service utilization across multiple waves of the pandemic. The present study used data from 35,162 interRAI Child and Youth Mental Health (ChYMH) assessments across 53 participating mental health agencies in Ontario, Canada, to assess the mental health presentations and referral trends of children and youth across the first two waves of the COVID-19 pandemic in the province. Wave 1 consisted of data from March to June 2020, with Wave 2 consisting of data from September 2020 to January 2021. Data from each wave were compared to each other and to the equivalent period one year prior. While assessment volumes declined during both pandemic waves, during the second wave, child and youth assessments in low-income neighborhoods declined more than those within high-income neighborhoods. There were changes in family stressors noted in both waves. Notably, the proportion of children exposed to domestic violence and recent parental stressors increased in both waves of the pandemic, whereas there were decreases noted in the proportion of parents expressing feelings of distress, anger, or depression and reporting recent family involvement with child protection services. When comparing the two waves, while depressive symptoms and recent self-injurious attempts were more prevalent in the second wave of the pandemic when compared to the first, a decrease was noted in the prevalence of disruptive/aggressive behaviors and risk of injury to others from Wave 1 to Wave 2. These findings highlight the multifaceted impact of multiple pandemic waves on children and youth's mental health needs and underscore the need for future research into factors impacting children and youth's access to mental health agencies during this time.

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“…It is currently available in English, Canadian-French, and Simplified Chinese. Over 80,000 assessments have been completed thus far, with a number of research studies utilizing the ChYMH-S data [e.g., ( 119 – 121 )].…”

Section: The Interrai Child and Youth Suite Of Mental Health Instrume...mentioning

confidence: 99%

The interRAI Child and Youth Suite of Mental Health Assessment Instruments: An Integrated Approach to Mental Health Service Delivery

et al. 2022

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Various biological, social, psychological, and environmental factors impact children and youth living with mental health problems across their lifespan. To meet the wide-ranging challenges of mental illness, service system integration is needed to improve efficiencies and reduce fragmentation. Unfortunately, the mental health system has been plagued by the lack of coordination across services. There is a general consensus that mental health service delivery must ensure a child or youth’s needs are addressed in a collaborative, coordinated, and seamless manner. A key element to successful integration is the development of a comprehensive standardized screening and assessment system. Numerous assessments have been developed to assess child mental health and functioning, but they typically have a very narrow focus with limited use and utility. Not only does this reduce the ability to take a life course perspective to mental health, but this uncoordinated approach also results in redundancies in information collected, additional resources, and increased assessor burden for children, youth, and their families. The interRAI child and youth mental health assessment suite was developed in response to the need for an integrated mental health system for young persons. This suite includes screening and assessment instruments for in-patient and community settings, emergency departments, educational settings, and youth justice custodial facilities. The instruments form a mental health information system intentionally designed to work in an integrated fashion beginning in infancy, and incorporate key applications such as care planning, outcome measurement, resource allocation, and quality improvement. The design of these assessment tools and their psychometric properties are reviewed. Data is then presented using examples related to interpersonal trauma, illustrating the use and utility of the integrated suite, along with the various applications of these assessment systems.

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Exposure to childhood interpersonal trauma and mental health service urgency

Cited by 21 publications

References 39 publications

Child and youth mental health needs and service utilization during COVID-19.

Child and youth mental health needs and service utilization during COVID-19.

Following the Epidemic Waves: Child and Youth Mental Health Assessments in Ontario Through Multiple Pandemic Waves

The interRAI Child and Youth Suite of Mental Health Assessment Instruments: An Integrated Approach to Mental Health Service Delivery

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